The Development of Mismatch Responses to Mandarin Lexical Tone in 12- to 24-Month-Old Infants

Neural correlates of lexical-tone and vowel-quality processing in 6- and 9-month-old German-learning infants and adults

We examined the neurophysiological underpinnings of lexical-tone and vowel-quality perception in learners of a non-tonal language. We tested 25 6- and 25 9-month-old German-learning infants, as well as 24 German adults and expected developmental differences for the two linguistic properties, as they are both carried by vowels, but have a different status in German. In adults, both lexical-tone and vowel-quality contrasts elicited mismatch negativities, with a stronger response to the vowel-quality contrast. Six-month-olds showed positive mismatch responses for lexical-tone and vowel-quality contrasts, with an emerging negative mismatch response for vowel-quality only. The negative mismatch responses became more pronounced for the vowel-quality contrast at 9 months, while the lexical-tone contrast elicited mainly positive mismatch responses. Our data reveal differential developmental changes in the processing of vowel properties that differ in their lexical relevance in the ambient language.

Early brain cognitive development in late preterm infants: an event-related potential and resting EEG study

BACKGROUND

Late preterm infants (LPIs) are at risk of neurodevelopmental delay. Research on their cognitive development is helpful for early intervention and follow-up.

METHODS

Event-related potential (ERP) and resting electroencephalography (RS-EEG) were used to study the brain cognitive function of LPIs in the early stage of life. The Gesell Developmental Scale (GDS) was used to track the neurodevelopmental status at the age of 1 year after correction, and to explore the neurophysiological indicators that could predict the outcome of cognitive development in the early stage.

RESULTS

The results showed that mismatch response (MMR) amplitude, RS-EEG power spectrum and functional connectivity all suggested that LPIs were lagging behind. At the age of 1 year after correction, high-risk LPIs showed no significant delay in gross motor function, but lagged behind in fine motor function, language, personal social interaction and adaptability. The ROC curve was used to evaluate the predictive role of MMR amplitude in the brain cognitive development prognosis at 1 year, showing a sensitivity of 80.00% and a specificity of 90.57%. The area under the curve (AUC) was 0.788, with a P-value of 0.007.

CONCLUSIONS

Based on our findings we supposed that the cognitive function of LPI lags behind that of full-term infants in early life. Preterm birth and perinatal diseases or high risk factors affected brain cognitive function in LPIs. MMR amplitude can be used as an early predictor of brain cognitive development in LPIs.

TRIAL REGISTRATION

This clinical trial is registered with the Chinese Clinical Trial Registry (ChiCTR).

TRIAL REGISTRATION NUMBER

ChiCTR2100041929. Date of registration: 2021-01-10. URL of the trial registry record: https://www.chictr.org.cn/ .

Maturation of the mismatch response in pre-school children: Systematic literature review and meta-analysis

Event-related potentials (ERPs), specifically the Mismatch Response (MMR), holds promise for investigating auditory maturation in children. It has the potential to predict language development and distinguish between language-impaired and typically developing groups. However, summarizing the MMR's developmental trajectory in typically developing children remains challenging despite numerous studies. This pioneering meta-analysis outlines changes in MMR amplitude among typically developing children, while offering methodological best-practices. Our search identified 51 articles for methodology analysis and 21 for meta-analysis, involving 0-8-year-old participants from 2000 to 2022. Risk of Bias assessment and methodology analysis revealed shortcomings in control condition usage and reporting of study confounders. The meta-analysis results were inconsistent, indicating large effect sizes in some conditions and no effect sizes in others. Subgroup analysis revealed the main effects of age and brain region, as well as an interaction of age and time-window of the MMR. Future research requires a specific protocol, larger samples, and replication studies to deepen the understanding of the auditory discrimination maturation process in children.

Neural phoneme discrimination in variable speech in newborns - Associations with dyslexia risk and later language skills

A crucial skill in infant language acquisition is learning of the native language phonemes. This requires the ability to group complex sounds into distinct auditory categories based on their shared features. Problems in phonetic learning have been suggested to underlie language learning difficulties in dyslexia, a developmental reading-skill deficit. We investigated auditory abilities important for language acquisition in newborns with or without a familial risk for dyslexia with electrophysiological mismatch responses (MMRs). We presented vowel changes in a sequence of acoustically varying vowels, requiring grouping of the stimuli to two phoneme categories. The vowel changes elicited an MMR which was significantly diminished in infants whose parents had the most severe dyslexia in our sample. Phoneme-MMR amplitude and its hemispheric lateralization were associated with language test outcomes assessed at 28 months, an age at which it becomes possible to behaviourally test children and several standardized tests are available. In addition, statistically significant MMRs to violations of a complex sound-order rule were only found in infants without dyslexia risk, but these results are very preliminary due to small sample size. The results demonstrate the relevance of the newborn infants' readiness for phonetic learning for their emerging language skills. Phoneme extraction difficulties in infants at familial risk may contribute to the phonological deficits observed in dyslexia.

Maturation of consonant perception, but not vowel perception, predicts lexical skills at 12 months

Consonants and vowels differentially contribute to lexical acquisition. From 8 months on, infants' preferential reliance on consonants has been shown to predict their lexical outcome. Here, the predictive value of German-learning infants' (n = 58, 29 girls, 29 boys) trajectories of consonant and vowel perception, indicated by the electrophysiological mismatch response, across 2, 6, and 10 months for later lexical acquisition was studied. The consonant-perception trajectory from 2 to 6 months (β = -2.95) and 6 to 10 months (β = -.91), but not the vowel-perception trajectory, significantly predicted receptive vocabulary at 12 months. These results reveal an earlier predictive value of consonant perception for word learning than previously found, and a particular role of the longitudinal maturation of this skill in lexical acquisition.

Late mismatch negativity of lexical tone at age 8 predicts Chinese children’s reading ability at age 10

Background

Deficits in phonological processing are commonly reported in dyslexia but longitudinal evidence that poor speech perception compromises reading is scant. This 2-year longitudinal ERP study investigates changes in pre-attentive auditory processing that underlies categorical perception of mandarin lexical tones during the years children learn to read fluently. The main purpose of the present study was to explore the development of lexical tone categorical perception to see if it can predict children’s reading ability.

Methods

Both behavioral and electrophysiological measures were taken in this study. Auditory event-related potentials were collected with a passive listening oddball paradigm. Using a stimulus continuum spanning from one lexical tone category exemplar to another, we identified a between-category and a within-category tone deviant that were acoustically equidistant from a standard stimulus. The standard stimulus occurred on 80% of trials, and one of two deviants (between-category or within-category) equiprobably on the remaining trials. 8-year-old Mandarin speakers participated in both an initial ERP oddball paradigm and returned for a 2-year follow-up.

Results

The between-category MMN and within-category MMN significantly correlate with each other at age 8 (p = 0.001) but not at age 10. The between-category MMN at age 8 can predict children’s ability at age 10 (p = 0.03) but the within-category cannot.

Conclusion

The categorical perception of lexical tone is still developing from age 8 to age 10. The behavioral and electrophysiological results demonstrate that categorical perception of lexical tone at age 8 predicts children’s reading ability at age 10.

Auditory Discrimination Elicited by Nonspeech and Speech Stimuli in Children With Congenital Hearing Loss

PURPOSE

Congenital deafness not only delays auditory development but also hampers the ability to perceive nonspeech and speech signals. This study aimed to use auditory event-related potentials to explore the mismatch negativity (MMN), P3a, negative wave (Nc), and late discriminative negativity (LDN) components in children with and without hearing loss.

METHOD

Nineteen children with normal hearing (CNH) and 17 children with hearing loss (CHL) participated in this study. Two sets of pure tones (1 kHz vs. 1.1 kHz) and lexical tones (/ba2/ vs. /ba4/) were used to examine the auditory discrimination process.

RESULTS

MMN could be elicited by the pure tone and the lexical tone in both groups. The MMN latency elicited by nonspeech and speech was later in CHL than in CNH. Additionally, the MMN latency induced by speech occurred later in the left than in the right hemisphere in CNH, and the MMN amplitude elicited by speech in CHL produced a discriminative deficiency compared with that in CNH. Although the P3a latency and amplitude elicited by nonspeech in CHL and CNH were not significantly different, the Nc amplitude elicited by speech performed much lower in CHL than in CNH. Furthermore, the LDN latency elicited by nonspeech was later in CHL than in CNH, and the LDN amplitude induced by speech showed higher dominance in the right hemisphere in both CNH and CHL.

CONCLUSION

By incorporating nonspeech and speech auditory conditions, we propose using MMN, Nc, and LDN as potential indices to investigate auditory perception, memory, and discrimination.

Evidence for Top-down Meter Perception in Infancy as Shown by Primed Neural Responses to an Ambiguous Rhythm

From auditory rhythm patterns, listeners extract the underlying steady beat, and perceptually group beats to form meters. While previous studies show infants discriminate different auditory meters, it remains unknown whether they can maintain (imagine) a metrical interpretation of an ambiguous rhythm through top-down processes. We investigated this via electroencephalographic mismatch responses. We primed 6-month-old infants (N = 24) to hear a 6-beat ambiguous rhythm either in duple meter (n = 13), or in triple meter (n = 11) through loudness accents either on every second or every third beat. Periods of priming were inserted before sequences of the ambiguous unaccented rhythm. To elicit mismatch responses, occasional pitch deviants occurred on either beat 4 (strong beat in triple meter; weak in duple) or beat 5 (strong in duple; weak in triple) of the unaccented trials. At frontal left sites, we found a significant interaction between beat and priming group in the predicted direction. Post-hoc analyses showed mismatch response amplitudes were significantly larger for beat 5 in the duple- than triple-primed group (p = .047) and were non-significantly larger for beat 4 in the triple- than duple-primed group. Further, amplitudes were generally larger in infants with musically experienced parents. At frontal right sites, mismatch responses were generally larger for those in the duple compared to triple group, which may reflect a processing advantage for duple meter. These results indicate infants can impose a top-down, internally generated meter on ambiguous auditory rhythms, an ability that would aid early language and music learning.

Neural detection of changes in amplitude rise time in infancy

Amplitude rise times play a crucial role in the perception of rhythm in speech, and reduced perceptual sensitivity to differences in rise time is related to developmental language difficulties. Amplitude rise times also play a mechanistic role in neural entrainment to the speech amplitude envelope. Using an ERP paradigm, here we examined for the first time whether infants at the ages of seven and eleven months exhibit an auditory mismatch response to changes in the rise times of simple repeating auditory stimuli. We found that infants exhibited a mismatch response (MMR) to all of the oddball rise times used for the study. The MMR was more positive at seven than eleven months of age. At eleven months, there was a shift to a mismatch negativity (MMN) that was more pronounced over left fronto-central electrodes. The MMR over right fronto-central electrodes was sensitive to the size of the difference in rise time. The results indicate that neural processing of changes in rise time is present at seven months, supporting the possibility that early speech processing is facilitated by neural sensitivity to these important acoustic cues.

P-MMR and LDN beside MMN as Speech-evoked Neural Markers in Children with Cochlear Implants: A Review

This review mainly explores less-reported neural markers to speech-evoked contrasts in children with cochlear implants (CI). Databases and electronic journals were searched with keywords of "mismatch responses" AND "positive mismatch response" (p-MMR) AND "late discriminate negativity" (LDN). P-MMR likely is as a measurement of brain immaturity in CI children while the developmental trajectories of LDN remain unexplained in older CI children. In CI children, there is a p-MMR-MMN-LDN sequence to speech stimuli developmentally. Whereas these aforementioned neural responses anticipate developmental changes in CI groups, it is still uncertain about the cutoff age for disappearance of p-MMR and LDN.

The effect of lexical status on prosodic processing in infants learning a fixed stress language

In speech processing, in the first year of life, prosody and phoneme-relevant aspects serve different functions. Recent studies have assumed that the two aspects become integrated at around 9 months of age. The present study investigates the effect of lexical status on stress processing in a fixed stress language. We hypothesize that lexicality modulates stress processing, and where the stress cue is in conflict with the lexical status (legal deviant condition), we will observe differences in age indicating the stage of integration. We tested 69 6 and 10 month-old infants in an acoustic oddball event-related potential paradigm. A frequent word stimulus (baba) and a pseudoword (bebe) were used with legal versus illegal stress. We systematically swapped the standard and deviant roles of the different stress variants in two conditions. In the illegal deviant condition in the case of the word stimulus, the response pattern typical for the pseudoword (an MMR to the absence of the stress cue) was missing. This implies the suppression effect of lexicality. In the legal deviant condition, negative MMR (N-MMR) in the second time window indicated a facilitation effect of lexicality in both age groups. As only the 6-month-olds produced an N-MMR in the first time window, we concluded that in a fixed stress language, integration starts at 6 months but is only completed by the age of 10 months. Our results show that lexical status modulates stress processing at word level in a highly regularly stressed language in which stable, long-term language-specific stress representation exists from early infancy.

Deficits in Processing of Lexical Tones in Mandarin-Speaking Children With Developmental Language Disorder: Electrophysiological Evidence

Purpose This study explored the neural marker indexing deficits in discriminating lexical tone changes in Mandarin-speaking children with developmental language disorders (DLDs) using mismatch negativity, an event-related potential component for auditory change detection. Mandarin has four lexical tones characterized by a high-level tone (T1), high-rising tone (T2), low-dipping tone (T3), and high-falling tone (T4), in which the T2/T3 contrast is acoustically less discriminable in developmental groups. Therefore, this study further examined how deficits in children with DLD would vary with tonal contrasts' acoustic saliency. Method Event-related potentials were measured using the multideviant oddball paradigm described by Lee et al. (2012), who used Mandarin syllables [i] in T3 as the standard sound (80%), T1 as the large deviant (10%), and T2 as the small deviant (10%). Twelve children with DLD aged between 4 and 6 years participated in this study, and 12 age-matched children with typical development were selected from the data set of Lee et al. (2012) as the controls. Results The T1/T3 change elicited adultlike mismatch negativity in both the DLD and control groups, while no group difference was revealed. The T2/T3 change elicited a robust positive mismatch response (P-MMR) in children with DLD, while the P-MMR was less significant in the control group. The group comparisons revealed a larger P-MMR in children with DLD than in the control group. Furthermore, children with lower scores in language assessments tend to reveal larger P-MMRs. Conclusions This study demonstrated that deficits in children with DLD in discriminating subtle lexical tone changes reflect greater positivity of P-MMR to T2/T3 change. This implies that MMR to T2/T3 may serve as a neural marker for evaluating language delay in preschoolers.

Distributional learning of speech sound categories is gated by sensitive periods

Perceptual attunement to the native phonetic repertoire occurs over the first year of life: an infant's discrimination of non-native phonetic contrasts declines while their discrimination of native phonetic contrasts improves, with the timing of change consistent with sensitive periods. The statistics of speech sound distributions is one source of input used to collapse non-native phonetic category boundaries, while sharpening native ones. Distributional learning can be a domain-general mechanism, yet given the timing of perceptual attunement, we hypothesized that this learning mechanism may be maturationally delimited in the content domain of phonetic categories. Here, we assessed whether sensitivity to the distribution of speech sounds in the environment declines as the period of perceptual attunement closes. We used electroencephalography (EEG) to investigate whether neuronal responses to native 'ra' and 'la' phones are modulated differently in older vs young infants by exposure to either a bimodal or unimodal sound distribution spanning the [r] ~ [l] phoneme space. The native contrast, ra-la, is discriminable at all three ages, ensuring that we were testing the distributional learning mechanism, rather than confounding it with a decline in discrimination to a non-native distinction. English monolingual infants (n = 131) at 5-, 9- and 12-months-old were familiarized to either a unimodal or bimodal distribution of /ra/-/la/ speech sounds. Immediately following familiarization, an ERP oddball task was used to assess discrimination. Results showed that brief exposure to a bi- vs uni-modal distribution is sufficient to alter neuronal responses to subsequent /ra/ vs /la/ speech sounds at 5-months and 9-months, but not at 12-months. These results are the first to capture a progressive decline in sensitivity to distributional statistics in the environment. A potential mechanistic explanation based on critical period biology is discussed.

Predictive value of electroencephalogram, event-related potential, and general movements quality assessment in neurodevelopmental outcome of high-risk infants

OBJECTIVE

The objective of the study is to investigate the predictive value of electroencephalogram (EEG), event-related potential (ERP), and general movements (GMs) quality assessment in the neurodevelopmental outcome of high-risk infants at one year old.

METHODS

EEG and ERP were performed in high-risk infants at four weeks old, and GMs quality was evaluated once at 4 weeks and once at 12 weeks. The Gesell score was used to assess neurodevelopment outcome at one year old. A comparative analysis of the effects of EEG, GMs, EEG + ERP, and EEG + ERP + GMs was used to predict high-risk neonatal neurodevelopmental outcome.

RESULTS

Of 71 high-risk infants at the age of one year, 3 (4.23%) had cerebral palsy, 14 (19.72%) had psychomotor retardation, and 54 (76.05%) were normal. The sensitivity, specificity, positive predictive value, and negative predictive value of EEG + ERP + GMs method were 90.00%, 95.08%, 75.00%, and 98.31%, respectively, and these indexes were the highest among the four methods (EEG, GMs, EEG + ERP, and EEG + ERP + GMs). The kappa statistic for the reliability of predicting neurodevelopmental outcome of high risk newborns by the EEG + ERP + GMs method was substantial at 0.785, while the other three methods obtained relatively low Kappa values (0.599, 0.586, and 0.712, respectively).

CONCLUSIONS

The combination of EEG, ERP, and GMs quality assessment can greatly improve the prediction of neurodevelopmental outcome of high-risk newborns.

Disrupted or delayed? Stress discrimination among preterm as compared to full-term infants during the first year of life

BACKGROUND

Several papers pointed out that the language disorders are the most commonly reported cognitive deficits of the preterm (PT) infants. However, neither the exact interpretation (disrupted or delayed) of their language development nor the most powerful perinatal risk factors have been specified yet.

AIMS

We aimed to determine whether postnatal development of prosodic processing of PT infants is disrupted or delayed in the first year of life? We also tested the role of Birth Weight (BW) and Gestational Age (GA) regarding the PT and full-term (FT) infants' language perception.

METHOD

We registered the mismatch responses (MMR) of 34 PT (at 6 and 12 month of ages) and 33 FT infants (at 4 and 10 month of age) elicited by bisyllabic pseudo-words in two oddball conditions.

RESULT

Contrary to their FT peers, younger PT group detected stress changes of the legal stress form only. Analogously, a positive MMR (P-MMR) was found for the legal form discrimination exclusively in PT12 group. Furthermore, the lack of sensitivity to the standard vs. deviant difference was identified in the PT infants. In PT infants, BW explained 21 % of the total variance of the P-MMR.

CONCLUSION

Consequently, we argue that the stress sensitivity of the PT infants is unimpaired, but their stress processing seems to be disrupted from the 6th month on. We suggest for further studies to take BW into account in studies using MMR paradigms in PT infants.

Neural Underpinnings of Early Speech Perception and Emergent Literacy

Mismatch negativity (MMN) is an event-related potential component used to index automatic auditory change detection. Thus, MMN provides an excellent tool to assess the speech sensitivity of infants and children. Although MMN is well established in adults, the polarity and latency of mismatch responses (MMRs) in infants are highly inconsistent across studies. This paper aims to provide a comprehensive review of MMN studies of speech perception in early infancy. In particular, data from a series of MMN studies of Mandarin lexical tone, vowels, and initial consonants will be presented to demonstrate how phonological saliency, size of deviance, and neural maturation modulate MMRs in early infancy. These data suggest that MMN and positive MMRs index different functional characteristics and may provide information on when and how children's speech perception becomes automatic at different developmental stages. By using MMN to index sensitivity to speech discrimination, dyslexic children usually show reduced or absent MMN, which supports the relationship between phonological sensitivity and literacy. However, children with attention deficit/hyperactivity disorder showed the typical MMN, but attenuated P3a and enhanced late discriminative negativity. Taken together, the MMR characteristics, including amplitude, peak latency, and the transition of polarity, may be used to index the maturation of speech development and for the early identification of children with atypical language development.